Family: use for any 1st adult member of your family that is joining plus up to 3 children.

Attach to Family: to subsequently be used by any other Adult member of your family. All Adults must fill out their own form so they can Agree to the Waiver. This is required for our Insurance because you cannot agree to the Waiver for another person. If you have questions about this please contact our office at admin@albertawhitewater.ca

Please note: Alberta Sport would like to know how many people participate in our sport from different age groups. Your provision of your birthdate will help to demonstrate the widespread appeal of kayaking for all ages.

Membership Type *

Existing Member

First Name *

Last Name *

Email *

Relationship to Existing Member *

Primary Member/Adult on this Waiver

First Name *

Last Name *

Street Address *

City *

State/Province *

Postal Code *

Country *

Gender *

Birth Date

Month

Day

Year

Phone Number *

Email *

Home Email

Interests

Rolling

River Running

Creeking

Canoe Polo

Slalom

Freestyle

Canoeing

Stand up Paddle Board

Non Paddler

Click all that Apply

Experience

Beginner

Intermediate

Advanced

Elite

Image Release

Image Release

See below

Interested to Volunteer at

Club Level

AWA Level

Image Release

I grant permission to the Alberta Whitewater Association, it’s Clubs and Affiliated Discipline Associations the right to use, without payment of any fee or charge and without limitation on time or frequency, for nonprofit, educational, promotional or publicity purposes only, any photographs, video footage, audiotape or digital images of me.